| Miss Tameika Renee Shackleford, LMP | |
|
320 Center Ave, Suite C, Northport, WA 99157-9731 | |
| (509) 690-1471 | |
| (509) 690-1471 |
| Full Name | Miss Tameika Renee Shackleford |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 320 Center Ave, Northport, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528586500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA60763626 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tameika Renee Shackleford, LMP 4468 Highway 25 N, Northport, WA 99157-9731 Ph: (150) 969-01527 | Miss Tameika Renee Shackleford, LMP 320 Center Ave, Suite C, Northport, WA 99157-9731 Ph: (509) 690-1471 |
Mrs. Laura Rae Mertens, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 723 Summit Ave, Northport, WA 99157 Phone: 509-690-7402 | |
Northport Massage Company, Llc Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Center Ave, Northport, WA 99157 Phone: 206-512-4165 | |
Ms. Cheryl Bloxam, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Center Avenue, Suite E, Northport, WA 99157 Phone: 206-512-4165 |